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Screening for Methicillin-Resistant Staphylococcus aureus.

Miriam Wiese-Posselt1, Selin Saydan, Frank Schwab

  • 1Institute of Hygiene and Environmental Medicine, Charité -University Medicine Berlin, a joint institution of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German National Reference Center for the Surveillance of Nosocomial Infections at the Institute of Hygiene and Environmental Medicine, Charité - University Medicine Berlin, a joint institution of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

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This summary is machine-generated.

Methicillin-resistant Staphylococcus aureus (MRSA) rates in German hospitals significantly decreased between 2006 and 2021. Targeted MRSA screening upon hospital admission is recommended, as incidence density was not affected by screening frequency.

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Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Public Health

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) prevalence in German hospitals has shown a declining trend in recent years.
  • Data from the Hospital Infection Surveillance System (KISS) MRSA module (2006-2021) are analyzed.
  • The study investigates the association between MRSA rates and patient screening frequency.

Purpose of the Study:

  • To report trends in MRSA prevalence and incidence in German hospitals from 2006 to 2021.
  • To examine the relationship between MRSA detection rates and the intensity of patient screening.
  • To provide evidence-based recommendations for MRSA surveillance strategies.

Main Methods:

  • Utilized data from the voluntary MRSA module of the German Hospital Infection Surveillance System (KISS).
  • Collected annual data on hospital structure, MRSA cases (colonization/infection, admission/nosocomial), and nasal swabs for MRSA detection.
  • Performed statistical analyses using R software.

Main Results:

  • Hospital participation in the MRSA KISS module increased from 110 (2006) to 525 (2021).
  • Overall MRSA prevalence peaked in 2012; prevalence on admission decreased by 44% (2016-2021).
  • Nosocomial MRSA incidence density declined by 12% annually (2006-2021), with screening frequency increasing sevenfold; incidence density remained stable regardless of screening frequency.

Conclusions:

  • MRSA rates in German hospitals have markedly decreased between 2006 and 2021.
  • Nosocomial MRSA incidence density was not significantly influenced by the frequency of MRSA screening.
  • A targeted, risk-adapted MRSA screening strategy upon hospital admission is recommended.